Alcoholism: Prevention and Cure by Dr Courtejoie J., MD and Pierre, B (Bureau of Study and Research for the Promotion of Health - Congo - CPS, 1983, 175 p.)

(introduction...)

Introduction

Part 1: General Knowledge of Alcoholism

Part 2: The flip-chart and slide show ''alcoholism'' and how to use it

Part 3: Suggested didactic material

Part 6: Slideshow: The damaging effects of alcohol

Part 7: Slideshow: Preventing alcoholism

Part 8: List of the pictures

Part 9: Anecdotes, simple health education talks

Part 9: Anecdotes, simple health education talks

An example of health education talk about alcoholism which is
presented as a dialogue between James and doctor Smith

James: About which disease shall we talk today ?

Dr. Smith: About a disease which could be easily avoided, it is
a disease created by men for their own pleasure,

James: For pleasure ?

Dr. Smith: Yes, this pleasure costs a lot of money.

James: HOW does one catch this disease ?

Dr. Smith: it is very easy by drinking alcohol.

James: Oh, I see, you are going to talk about alcoholism.

Dr. Smith: Yes, that's it.

James: Which drinks give alcoholism ? Does beer give it ?

Dr. Smith: All drinks containing alcohol can cause this disease,
beer just like the others. Let's look at the figures: whisky, rum and cognac
contain 45% alcohol. aperitifs contain 15 to 20% alcohol. Red wine contain about
10% alcohol. Beer or palm wine contain about 4%. If you consider these figures,
you can easily understand that what counts is the Quantity of alcohol a drink
contains For example, four or five glasses of beer contain as much alcohol as
one glass of whisky and soda.

James: If I follow you, one is mistaken in thinking that beer is
less dangerous than whisky or wine.

Dr. Smith: Yes, that's right

James: HOW does one become an alcoholic ?

Dr. Smith: YOU can become an alcoholic by simply drinking a
certain amount of alcohol every day or several times a week.

James: How much ?

Dr. Smith: it is hard to say. Some people do not tolerate
alcohol as well as others

James Could you give some examples ?

Dr. Smith: Here they are: imagine a worker who drinks three or
four bottles of beer spread out over a week. The risk of his becoming an
alcoholic is slight Now, consider a worker who drinks several bottles of beer
every day. In this case, he runs a yeat risk of becoming an alcoholic.
James: What about the alcohol we make here, Lotoko, Nsamba, Lunguila,
Mansongo, etc.

Dr. Smith: All those preparations are as dangerous as the other
alcohols; they can contain 15 to 40% alcohol.

James: What are the signs of alcoholism ?

Dr. Smith: There are two kinds of alcoholism, acute
alcoholism...

James: That is drunkenness.

Dr. Smith: indeed, that is drunkenness. There is also a second
form: chronic alcoholism, where the drinker is drunk less often, Let's start
with acute alcoholism: drunkenness; you've probably already seen drunkards,

James: Oh, yes, we sometimes see them coming out of bars, they
don't walk straight any more, they zigzag and fall heavily to the ground. They
shout, sing out of the tune, talk crudely. They get angry easily, break
everything in the house and may beat their wives and children.

Dr. Smith That is exactly the truth. After all this excitement,
they sleep heavily for a long time. This is acute alcoholism. Let's talk about
the alcoholism which has become a habit: chronic alcoholism, This is the illness
of people who drink alcohol every day, many times a day. After a few years,
they show signs of mental disorders, then problems in certain parts of the body.

James: Which mental disorders ?

Dr. Smith: They cannot sleep and have terrible nightmares.
Memory becomes poor Minds become confused They become rough and nasty They get
angry for no reason and are likely to attack those who live around them.

James: YOU said that some of the organs of the body were damaged
by alcohol.

Dr. Smith Yes, the liver and nerves. Their livers are very ill,
they no longer let the body's water pass through so the water stays in the tummy
and the legs, which swell.

James: What about the nerves ?

Dr. Smith You can see that the nerves are affected because the
ill persons tremble, lose their strength and cannot work any more. If they keep
on drinking alcohol they may die.

James Alcoholism is indeed a serious disease. Can it be cured ?

Dr. Smith Yes, it can if it is treated early enough. The
alcoholic must stop drinking and take medicine to cure his liver and nerves.

James Doesn't alcoholism have harmful effects on the children
born to alcoholics ?

Dr. Smith Yes, indeed, you are right to ask that. Doctors know
that alcoholics babies are ill. They are small, thinner and sometimes not very
intelligent They are not as resistant to illness because their parents don't
take care of them.

James: If someone is drunk once or twice a week, is he in danger
of becoming an alcoholic ?

Dr. Smith Not as much as someone who drinks every day, but if he
keeps up the habit he, too, will become an alcoholic.

James When we talk about other diseases, I always ask you how to
prevent them but in this case, I can answer myself. In order to avoid alcoholism
one must limit oneself to drinking only a small amount of alcohol.

Dr. Smith It is the only thing to do. Someone who drinks just
one or two glasses of beer a day and one aperitif or one whisky a week does not
run any risk,

James What about locally made alcohol ?Dr Smith: It is all
the same: they are liquor, too, and if you don't want to become an alcoholic,
you ought not to have more than one drink per week.

James One last question,

Dr. Smith. Shouldn't alcohol be completely banned for children ?

Dr. Smith Quite right Children and women are very sensitive to
alcohol. Children should never drink, women only seldom, but not at all when
they are pregnant or breastfeeding. In conclusion, I'd like to say that one must
not drink if one drives. "Either drink or drive, make up your mind"

Suggested reading

For those who enjoy reading, we suggest a beautiful novel about
alcoholics, written by a well-Known French author (the story takes place in
Europe):

Emile Zola: The Grogshop

The story is about a worker who is honest and courageous at
first, but who sinks into alcoholism under the influence of bad fellows,
dragging wife and children with him in his downfall and
misfortune.